▲ A 30-year-old woman had proteinuria as soon as she basked in the sun and asked for a medical certificate for stage 3 kidney failure to reveal a hidden disease.
In general, although most patients with dialysis and chronic kidney failure are elderly, some doctors have pointed out that young people can also suffer from kidney failure. I was exhausted and sought a doctor. Because the patient developed proteinuria every day after sun exposure, it was discovered after the examination that it was caused by “lupus erythematosus”. He now he has entered the third stage of chronic kidney failure and his kidney function is only similar to that of an 80, 90 year old lady.
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Hong Yongxiang, a nephrologist, mentioned in the Healthy and Good Life program that the patient was only 30 years old. When she was first consulted, she was found to have proteinuria and the GFR was only 55 points. Her wife is no different. Upon further interrogation, it was found that the patient’s proteinuria was manifesting daily after sun exposure, and that erythema appeared on his face. This series of symptoms made him “probably know what’s going on!” The patient was later finally diagnosed with lupus erythematosus.
▲ The doctor pointed out that the patient’s proteinuria occurred every time after exposure to the sun, and would be accompanied by an erythema on the face. (Screenshot from the “Healthy Life” video)
Hong Yongxiang said that lupus erythematosus will attack various organs and also attack the kidneys causing chronic nephritis. The patient’s kidneys have been attacked by lupus erythematosus, leading to the third stage of chronic kidney failure. Hong Yongxiang subsequently used steroids and immune preparations to help the patient alleviate the condition of lupus erythematosus, so that the proteinuria was controlled and the patient’s kidney function returned to 70 points.
However, Hong Yongxiang also added that lupus erythematosus cannot be cured and the patient must keep it under control for life; and the organs will age every year, so the patient’s kidney function will continue to decline.
As for you, I think the likelihood of kidney dialysis is very high in the future, and I remind everyone that it’s not just the elderly who suffer from kidney failure.
Click on the image below to view the symptoms of chronic kidney failure:
According to rheumatology data from Hong Kong, it is estimated that around 60 out of 100,000 people in Hong Kong suffer from systemic lupus erythematosus. Symptoms include persistent high fever, mouth or throat ulcers, hair loss, and some people may also experience red spots on the bridge of the nose and cheeks, which form butterfly-shaped mottling. Some patients experience pain and swelling in the joints, which leads to arthritis. Additionally, systemic lupus erythematosus can cause serious complications that affect systemic functions, including kidney failure, cardiovascular disease, stroke, infection, etc.
Among them, kidney and joint effects are more common in patients with systemic lupus erythematosus. More than 90% of patients will develop nephritis of varying degrees and some can even lead to kidney failure and fatality. Another 80-90% of patients will have varying degrees of joint pain.
Rheumatology specialist Zhang Zheng said patients with lupus nephritis should be actively treated, even if the condition is alleviated, they should not be taken lightly, to prevent recurrence, “because any relapse will cause more severe damage to kidney function. , and the greater the number of relapses, the greater the chance of progression to renal failure.
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Responsible editor: Luo Jiaxin
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